| Entity Name: | GLEN T. CASTO, DDS MDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Jan 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Feb 2015 (10 years ago) |
| Document Number: | P06000002800 |
| FEI/EIN Number | 861160597 |
| Address: | 621 Sebastian Blvd., Sebastian, FL, 32958, US |
| Mail Address: | 8306 SE SANCTUARY DR., HOBE SOUND, FL, 33455 |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497000178 | 2012-07-18 | 2012-07-18 | 621 SEBASTIAN BLVD, B, SEBASTIAN, FL, 329584309, US | 621 SEBASTIAN BLVD, B, SEBASTIAN, FL, 329584309, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-388-6400 |
Authorized person
| Name | GLEN CASTO |
| Role | OWNER |
| Phone | 7723886400 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| License Number | DN16640 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN16978 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CASTO GLEN T | Agent | 8306 SE SANCTUARY DR., HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| CASTO GLEN T. | President | 8306 SE SANCTUARY DR., HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| CASTO GLEN T. | Treasurer | 8306 SE SANCTUARY DR., HOBE SOUND, FL, 33455 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-02-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-10 | CASTO, GLEN T | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-13 | 621 Sebastian Blvd., Suite B, Sebastian, FL 32958 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
